Menopause Matters Forum
Menopause Discussion => All things menopause => Topic started by: Elpoole24 on September 28, 2024, 04:52:52 PM
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I was on evorel seqùi 50 patches from November till last week. Now on evorel 75. Period was due weds or Thurs.l have all my normal period symptoms but no bleeding. When on the 50 patches my periods were regularly. Should I worry
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No need to worry at all (unless perhaps you could be pregnant ;D )
A change in hormone therapy can absolutely have an impact on your bleed timing/pattern.
Or they could just be starting to become less frequent spontaneously as this is what happens in peri.
Either way it is not a cause for concern medically (however I can appreciate this being inconvenient if you are used to a predictable cycle)
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I agree with Bombsh3ll. My bleeds on a sequi hrt always happened three days into the new pack after the withdrawal of the progesterone. I was in my early fifties though so my own cycle had become sporadic. Could your natural cycle be changing anyway and therefore being overruled by the hrt?
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It's interesting but I do think that sometimes when this happens, it's a sign that we really needed more estrogen. I mean - sometimes bleeding early or more frequently can be caused by low estrogen, rather than too much estrogen. (Just to confuse things ;D )
I have just experienced something similar. I have been trying to get my estrogen up into the 450-650pmol range to deal with debilitating night time symptoms and insomnia, on the advice of my Newson doctor.
I first tried increasing gel. On 6 pumps I was at 330pmol and my symptoms got a bit better - I then continued increasing up to 12 pumps, without any further improvement. Bloods showed I was still at about 330pmol on 12 pumps, so I wasn't absorbing any of the extra.
So then I reduced down to 6-8 pumps and added in Estradot patches and increased those. I'm now on 200mcg patches plus 6-8 pumps of gel. As soon as I started to increase the patches, two things happened together:
1. My sleep got A LOT better. (Last night was amazing. About 7 hours and really good quality restful sleep.)
2. My period hasn't come on day 23, like it has been for about a year now. It looks like I'm going to get all the way to day 26 inclusive before I stop the P this month. Previously I have had very very light spotting on day 21-22 and then more on day 23 when I'd then stop the P and allow a bleed.
So - increasing my estrogen has meant LESS bleeding and spotting. (I also don't have any high estrogen symptoms. No sore boobs etc.)
So - no, I wouldn't worry. In fact, the opposite, I'd be inclined to think it's a good sign that your body needed that increase.